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肺部B超检查在小儿肺炎中的应用
樊映红,谢诚,鲁正荣,段亚平,陶沛,黄懿洁,张蕾,王莉,夏万敏,艾涛
0
(成都市妇女儿童中心医院儿童呼吸内科)
摘要:
【摘要】目的 研究小儿肺炎的B超声像特点及肺部B超检查对小儿肺炎的诊断价值。方法 收集2014年12月~2016年06月本院儿童呼吸内科住院的148例肺炎确诊病例为研究组,选取同期住院的50例非肺部疾病患儿为对照组,对比两组肺部B超声像学特征。以肺部X线检查为参照标准,比较肺部B超检查结果。结果 研究组出现异常肺部B超声像者145例,其B超声像学征象主要包括胸膜线异常、A线消失、B线出现及肺实变等。在研究组中肺部B超检查与肺部X线检查结果相比,差异无统计学意义(P>0.05)。肺部B超检查对诊断小儿肺炎的敏感性为97.97%、特异性为94.00%,准确性为96.96%。当胸膜线异常、A线消失、B线出现同时存在时,对诊断小儿肺炎的敏感性为97.97%、特异性为94%、准确性为96.96%。结论 肺部B超检查对于小儿肺炎的诊断准确可靠,敏感性高、特异性强,对指导临床工作具有较高价值。
关键词:  肺部B超  肺炎  小儿
DOI:
基金项目:成都市卫生局重大科研课题(2013004)
Apply of lung ultrasound in children with pneumonia
FAN Yinghong,XIE Cheng,LU Zhengrong,DUAN Yaping,TAO Pei,HUANG Yijie,ZHANG Lei,WANG Li,XIA Wang min,AI Tao
(Respiration Department, Chengdu Women & Children Central Hospital)
Abstract:
【Abstract】 Objective The aim of this study was to evaluate the ultrasound imaging features of pneumonia in children and to evaluate the value of lung ultrasound in children with pneumonia. Methods 148 cases of pneumonia cases in our hospital from Dec. 2014 to Jun. 2016 were collected. The control group consisted of 50 children without any lung disease. The characteristics of B ultrasound imaging were summarized. In the study group, the lung X ray examination was used as a reference standard to compare the results of lung ultrasound. Results 145 patients with pneumonia had imaged abnormal ultrasound. The main ultrasound imaging features of pneumonia in children included pleural line abnormalities,disappeared A line appeared B line, etc.There was no statistically significant difference of lung X ray results between the tow groups (P>0.05). The sensitivity, specificity and accuracy of lung ultrasound in the diagnosis of pneumonia in children were 97.97%, 94% and 96.96%. The sensitivity, specificity and accuracy of ultrasonic signs of pleural line abnormalities, disappeared A line and appeared B line were 97.97%, 94% and 96.96%. Conclusion Lung ultrasound is accurate and reliable that using it to diagnose pneumonia in children.
Key words:  Lung ultrasound  Pneumonia  Children

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